Care program · Doral, Florida
Viva Neuropathy Assessment
Burning, tingling, reduced sensation, or weakness in the feet and hands deserves an assessment of the cause as well as the discomfort. Peripheral neuropathy describes a pattern of nerve damage, not a single diagnosis.
About this program
Diabetes is one cause, while selected nutritional, medicine-related, and other conditions may need consideration. A visit can review how symptoms started, their distribution, balance changes, falls, medicines, and previous test results. Examination may include sensation, strength, walking, and the condition of the feet.
Tests are selected to answer a clinical question rather than offered as a universal panel. Care discussions may address an underlying condition, appropriate medicine classes for nerve pain, safe activity, and protection of areas with reduced sensation. Medicines that reduce pain do not by themselves reverse nerve damage.
This programme does not promise restored sensation or present shockwave as routine treatment for neuropathy. New wounds may be serious even when they are painless, especially with diabetes. Bring your medicine list and relevant results, and request assessment through the main Viva Centers appointment page.
Confirm the provider, testing location, outside referral access, and cost. Rapidly increasing weakness or breathing difficulty needs urgent assessment rather than waiting for a routine visit.
What we treat, assess, and coordinate
What we treat
- Discussion of individualized nerve-pain medicine classes
- Underlying-condition management planning
- Foot protection and balance-safety support
What we assess
- Burning, tingling, numbness, and symptom distribution
- Weakness, falls, walking changes, and foot wounds
- Diabetes, medicines, and selected alternative causes
What we coordinate
- Outside nerve testing or neurology assessment when indicated
- Foot-care or wound services for appropriate concerns
- Physical therapy or balance support when available
Conditions in this program
What the first visit includes
We begin with your questions, history, available records, and shared next steps.
Learn about evaluation →Treatment options
Your provider discusses practical options and follow-up that fit your situation.
Explore treatment planning →Clinical team
Meet the team →Appointments, insurance, and location
10560 NW 27th St, Suite 101, Doral, FL 33172 · +1-305-209-0001
Hours: Mon–Fri 08:30–16:30; Sat 09:00–13:00.
Insurance informationSee how to bookFrequently asked questions
Is neuropathy always caused by diabetes?
No. Diabetes is one cause; the history and selected testing can identify other possibilities.
Do nerve-pain medicines repair nerves?
They may help symptoms, but do not by themselves change nerve damage. Treating an underlying cause is a separate part of the plan.
Can a painless foot wound wait?
No. Reduced sensation can hide an injury. With diabetes or poor sensation, seek prompt assessment for a new wound or foot change.
Is shockwave a standard neuropathy treatment here?
This programme does not present shockwave as routine neuropathy treatment or promise nerve regeneration.
Should I check my feet even when they do not hurt?
With diabetes or reduced sensation, daily checks can identify injuries you may not feel. Discuss appropriate foot protection and follow-up.
Will everyone need electrical nerve testing?
No. Examination, history, and the question being investigated determine whether referral for testing is useful.
Why review medicines and previous results?
The cause of nerve symptoms influences the plan. A medicine list, diabetes history, prior test results, and the timing of changes can help identify useful questions for assessment. Do not stop prescribed medicines on your own; discuss whether selected testing or a supervised change is appropriate.
How can reduced sensation affect daily safety?
Reduced sensation may make it harder to notice a blister, pressure injury, or excessive heat. Discuss daily skin checks, protective footwear, and balance concerns with your provider. A new wound or a red, warm, swollen foot needs prompt assessment, even if the area is not painful.
Urgent symptoms
- Call 911 for sudden one-sided weakness, facial droop, or trouble speaking. Do not wait for a routine programme appointment.
- Rapidly increasing weakness with trouble breathing needs emergency care
- Seek prompt assessment for a new foot wound, redness, warmth, or swelling, especially with diabetes
Call 911 for a life-threatening emergency.
Urgent guidance →When we refer
Rapid progression, unexplained weakness, uncertain cause, or a foot wound may require urgent or specialty assessment. Confirm nerve testing, wound care, and receiving-service access separately; this page does not establish onsite procedures.
Sources
- Peripheral Neuropathy — NIDDK (NIH)
- Diabetes & Foot Problems — NIDDK (NIH)
- Peripheral neuropathy: clinical overview — MedlinePlus (NIH)